Mental health nurse prescribing: A qualitative, systematic review.
Michelle ClearyRachel KornhaberJan SayersRichard John GrayPublished in: International journal of mental health nursing (2017)
The aim of the present qualitative, systematic review was to identify and summarize qualitative research that focussed on mental health nurse prescribing, synthesize findings, and outline key themes discerned. In November 2016, a systematic search was conducted for primary studies of the electronic databases PubMed, Excerpta Medica, (Embase), Cumulative Index to Nursing and Allied Health Literature, Scopus, and PsycINFO. Of the 101 papers identified through the search strategy, 12 qualitative studies met the review inclusion criteria. These studies included perspectives from nurses, doctors, and patients/clients regarding their attitudes about, and experiences of, nurse prescribing. Three themes emerged from the review: (i) patient-centred care; (ii) professional role; and (iii) professional support. Nurse prescribers embrace a patient-centred approach, providing timely and effective medication management. Adequate education and continuing professional development inclusive of clinical supervision enable competency development in nurse prescribing, supportive professional relationships, and patient safety. Further research is necessary to establish safety and demonstrate enhanced clinical outcomes from mental health nurse prescribing.
Keyphrases
- mental health
- primary care
- systematic review
- patient safety
- healthcare
- quality improvement
- mental illness
- meta analyses
- end stage renal disease
- adverse drug
- ejection fraction
- chronic kidney disease
- case control
- randomized controlled trial
- palliative care
- prognostic factors
- tyrosine kinase
- big data
- risk assessment
- pain management
- chronic pain
- affordable care act